51181 (2)r rj
NO. STREET
LOT NO.
APPLICATION FOR BUILDING PERMIT '
Cl
OF CUPERTINO
Sanitary No. S
Date2?F- — , 1 6Permit No. —f—// f/
.Zttvuv GO Ibb/
Application is hereby made for a permit to
a T\/ sVty T,pgrr ,Ll Building
�J���U
to be occupied only as in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements, $-A ,2/J/ � Fee; Af JD
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
Owner
By
Phony
State License �✓�/%�/
Address DITZ-CRANE
Ad 2295 Ut LA I-KUL DLV W.
7 c
Approve
ING INSPECTOR